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Florida rates for HCPCS 72196

Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.50 / $71.88 / $286.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $370.50 / $546.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $102.59 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $262.50 / $385.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.33 / $162.33 / $233.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.90 / $62.89 / $131.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.41 / $93.41 / $252.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.90 / $425.00 / $867.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.53 / $101.38 / $170.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.11 / $314.23 / $710.99
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.21 / $92.21 / $92.21
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.25 / $462.51 / $639.83
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.12 / $89.90 / $123.45
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.02 / $371.95 / $534.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $203.78 / $358.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.84 / $375.39 / $770.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.13 / $75.66 / $164.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.78 / $289.89 / $647.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.21 / $208.21 / $208.21
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.85 / $60.85 / $60.85
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.35 / $147.35 / $147.35